Active NPI
Rebecca Errickson
- Specialist
- Willingboro, NJ
National Provider Identifier
1790928588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 218A Sunset Rd
Willingboro, NJ 08046-1110 - Phone
- (609) 835-6180
- Fax
- (609) 835-7962
- NPI assigned
- Apr 9, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
218A Sunset Rd
Willingboro, NJ 08046-1110
Mailing address
1289 Route 38
Hainesport, NJ 08036-2730
Phone (609) 267-5656
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239235200000",
"number": "1790928588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1289 ROUTE 38",
"city": "HAINESPORT",
"state": "NJ",
"postal_code": "080362730",
"telephone_number": "609-267-5656",
"fax_number": "609-267-8892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "218A SUNSET RD",
"city": "WILLINGBORO",
"state": "NJ",
"postal_code": "080461110",
"telephone_number": "609-835-6180",
"fax_number": "609-835-7962"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERRICKSON",
"first_name": "REBECCA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-04-09",
"last_updated": "2009-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Willingboro, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.